Permit '� a CITY OF TIGARD ; • MECHANICAL PERMIT
5 .- ` . COMMUNITY DEVELOPMENT Permit #: MEC2009-00178
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/23/2009
Parcel: 1 S 136AD06502
Jurisdiction: Tigard
Site address: 10935 SW 68TH PKWY
Subdivision: WAY LEE Lot: 1
Project: Newport Seafood Grill
Project Description: Replace (1) rooftop gaspack. Will provide adequate curb attachment detail onsite for inspector.
Owner: FEES
WAY W LEE Description Date Amount
GENERAL CONTRACTOR, 1818 N NORTHLAKE Permit Fee 04/23/2009 $213.50
WAY Plan Review 04/23 /2009 $53.38
PHONE: 12% State Surcharge 04 /23/2009 $25.62
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062
PHONE: 503 - 692 -1565
FAX: 503 - 691 -1879
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm:
Gas Pressue Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $292.50
Hoods: Comm Incinerators: Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the •regon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You • • •btain J�■•h • ules
//
Issued By: "' I\t, L._>\!��4
l 11 1 J n' l Permittee Signature: /.. •
Call 503.63M19..4175// byy���7:00 a.m. for an inspection that busi .' "'JP
45
This permit card shall be kept in a conspicuous place on the job site until comp etion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application F oR.oF; F IC E .USE ON,IL
City of Tigard Received
° 13125 SW Hall Blvd., Tigard, OR 97223 y ° l .4i1 V' `M `•� 0
Plan Review
: 2 Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
T G A R 1 3 Inspection Line: 503.639.4175 Date Ready/By: NE 0 See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ® Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION
Value: $ 59,000.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
•
Job site address: 10935 SW 68th Dr Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/ State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: Newport Seafood Grill Gas heat pump 14.00
Cross street/directions to job site: Dud work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in- duct, suspended, etc. 14.00
Subdivision: I Lot no.:
Flue/vent for any of above 6.80
Other. 10.00 _
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
PUSH/PULL: Replace Unit #3...same size, location, and weight Flue vent for water heater or gas
c 1
fireplace 10.00
lQS C.� Log lighter (gas) 10.00
�1 Wood /pellet stove 10.00
Wood fireplace/insert 10.00
® PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00
Other: _ 10.00 _
Name: Newport Seafood Grill Environmental exhaust and ventilation
Address: 10935 SW 68th 1)r Range hood/other kitchen
equipment 10.00
City/State/ZIP: Tigard, OR 97223 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: (503)245 -3474 Fax: ( ) toilet compartments, utility rooms) 6.80
IS APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: _
Business name: Arrow Mechanical
Fuel piping
Contact name: Zachary Ped $5.40 for first four, 51.00 for each additional
Address: 10330 SW Tualatin Rd Furnace, etc.
Gas heat pump
City/ State/ZIP: Tualatin, OR 97062 Wall/suspended/unit heater
Phone: (503) 692 -1565 Fax:: (503) 691 -1879 Water heater
Fireplace
E -mail: arrowmech @verizon.net Range
R
CONTRACTOR Barbecue
Business name: Arrow Mechanical Clothes dryer (gas)
Other:
Address: SAME AS ABOVE MECHANICAL PERMIT FEES*
City/State/ZIP: SAME AS ABOVE Subtotal
Phone: ( ) SAME AS ABOVE I Fax: ( ) SAME AS AB Minimum permit fee (572.50)
re% of fee
CCB Iic.: 5193 . a State Plan surcharge view (12 of permit permit fee) )
ljO re TOTAL PERMIT FEE C)ta
/� (� / / rJ �1 This pew application expires if a permit is not obtained within 180
Authorized signature: E ill) _ _ _ (1 / L. ! _ ! , days after it has been accepted as complete. ^
Mechanical Permit Application FUR O FICF USE ONI
City of Tigard Daie/Bed
Permit No.:
1141 ° 13125 SW Hall Blvd., Tigard, OR 97223 Pan Review
Date/By. Phone: 503.639.4171 Fax: 503.598.1960 D Other Permit:
T I G A f: D Inspection Line: 503.639 Date Ready/By: luns: 0 See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ❑ Addition/alteration/replacement Mechanical permit fees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/ZIP: Furnace 100,000 BTU ( ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Flue/vent for any of above 6.80
Subdivision: I Lot no.:
Other. 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
Log Tighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER ❑ TENANT Chimney /liner /fluelvent 10.00
Other: 10.00
Name: Environmental exhaust and ventilation
Address:
Range hood/other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Phone: ( ) Fax Single-duct exhaust (bathrooms,
( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Business name: Other: 10.00
Fuel piping
Contact name: $5.40 for first four, 51.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/ State/ZIP:
Wall/suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
E-mail: Fireplace
Range
CONTRACTOR Barbecue
Business name: Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City/State/ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB tic.: State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.